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副脊柱和心肌肌形态与反复的腰椎间盘的关联:一个回顾性病例控制研究

Abdurrahim Tekin¹, Engin Can¹, Enis Furkan Edehan¹

¹Department of Neurosurgery, İstanbul Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|October 5, 2025

概括

多体肌肉退化和psoas肌肉缩与复发性腰椎椎间盘 (rLDH) 有关. 保持副脊髓肌肉健康可能有助于预防rLDH.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
神经外科神经外科

背景情况:

重复的腰椎间盘 (rLDH) 是一个重大的临床挑战.
了解对rLDH的诱导因素对于有效的预防和治疗策略至关重要.

研究的目的:

为了调查副脊柱和肌肌肉形态与rLDH的发生之间的联系.
使用定量磁共振成像 (MRI) 分析进行精确的形态评估.

主要方法:

对43名rLDH患者和43名匹配的对照进行了回顾性分析.
定量MRI测量包括功能横截面积 (FCSA),脂肪透 (FI) 和相对FCSA (rFCSA) 对于多肌 (MF),直立脊柱 (ES) 和psoas (PS) 肌肉.

主要成果:

与对照组相比,在rLDH组的MF和ES肌肉中观察到较低的FCSA值.
在rLDH组的PS肌肉中发现了更高的FCSA值.
多变量分析表明,增加的MF FCSA具有保护性 (OR=0.665),而增加的PS FCSA则是rLDH的风险因素 (OR=1.15) .

结论:

多体肌肉退化和psoas肌肉缩与rLDH显著相关.
勃起器脊柱肌肉退化没有显示对rLDH复发的独立影响.
保持副脊髓肌肉健康对于预防rLDH至关重要;对有针对性的干预措施的进一步研究是有必要的.

关键词:

勃起器脊柱肌肉是什么意思椎间盘间的变位是因为椎间盘的变位.磁共振成像技术磁共振成像技术多筋肌肉是多筋肌肉的一个组成部分.脊柱肌肉 (Psoas) 的肌肉.复发情况复发情况

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